Nokea
A patient presents with knee pain and instability following a twisting injury during sports activity. MRI reveals a tear involving the anterior cruciate ligament (ACL). Which surgical procedure is commonly performed to reconstruct the ACL?
- A. Arthroscopic meniscectomy
- B. Medial patellofemoral ligament (MPFL) reconstruction
- C. Anterior cruciate ligament (ACL) reconstruction
- D. Lateral collateral ligament (LCL) repair
Correct Answer: C
Rationale: Anterior cruciate ligament (ACL) reconstruction is a common surgical procedure performed to repair a torn ACL. This procedure involves replacing the damaged ACL with a graft, often using a portion of the patient's own patellar tendon, hamstring tendon, or an allograft (donor tissue). ACL reconstruction is typically indicated for patients with ACL tears that result in knee instability and functional limitations, especially in active individuals who participate in sports or activities requiring pivoting and cutting movements. Arthroscopic surgery is commonly used to perform ACL reconstruction, allowing for smaller incisions and faster recovery compared to traditional open surgeries. Post-operative rehabilitation and physical therapy are crucial components of the recovery process following ACL reconstruction surgery to optimize outcomes and return to pre-injury activity levels.
You may also like to solve these questions
The nurse in the practice of her profession is guided by ________.
- A. code of ethics
- B. local government code
- C. standards of care
- D. Nursing processs
Correct Answer: A
Rationale: The nurse in the practice of her profession is guided by a code of ethics, which outlines the moral duties and professional responsibilities of nurses. The code of ethics provides a framework for ethical decision-making and sets standards for professional behavior within the nursing profession. Nurses are expected to adhere to the principles of the code of ethics in order to promote the well-being and safety of their patients, maintain professional integrity, and uphold the values of nursing practice.
A patient receiving palliative care for end-stage renal disease expresses distress over changes in body image due to edema and weight gain. What intervention should the palliative nurse prioritize to address the patient's concerns?
- A. Encourage the patient to focus on accepting their body changes as part of the illness.
- B. Provide education on dietary modifications to manage fluid retention and edema.
- C. Offer emotional support and validate the patient's feelings about body image changes.
- D. Prescribe diuretic medications to reduce fluid retention and alleviate edema.
Correct Answer: C
Rationale: The most appropriate intervention for the palliative nurse to prioritize in this situation is to offer emotional support and validate the patient's feelings about body image changes. End-stage renal disease can lead to significant physical changes such as edema and weight gain, which can impact a patient's body image and self-esteem. By providing emotional support and validating the patient's feelings, the nurse can help address the patient's distress and concerns, improving their overall psychological well-being. While providing education on dietary modifications (choice B) and prescribing diuretic medications (choice D) may be important aspects of managing fluid retention and edema, addressing the patient's emotional distress and body image concerns should be the initial priority in a palliative care setting. Encouraging the patient to accept their body changes (choice A) may overlook the emotional impact these changes have on the patient, making choice C the most appropriate intervention.
A patient with chronic kidney disease presents with progressively worsening anemia and elevated serum phosphate levels. Which medication is commonly prescribed to reduce serum phosphate levels in patients with chronic kidney disease?
- A. Epoetin alfa
- B. Cinacalcet
- C. Sevelamer
- D. Allopurinol
Correct Answer: C
Rationale: Sevelamer is a medication commonly prescribed to reduce serum phosphate levels in patients with chronic kidney disease. Sevelamer is a phosphate binder that works by binding to dietary phosphate in the gut, preventing its absorption into the bloodstream. By reducing serum phosphate levels, sevelamer helps manage complications associated with hyperphosphatemia in chronic kidney disease patients, such as mineral and bone disorders. Other medications like epoetin alfa are used to treat anemia commonly seen in chronic kidney disease patients, while cinacalcet is used to manage secondary hyperparathyroidism. Allopurinol, on the other hand, is used to treat gout by reducing uric acid levels and is not indicated for reducing serum phosphate levels in chronic kidney disease patients.
Nurses are taught as students that the ideal and PROPER time for recording vital signs and notes on the patient is __________.
- A. to wait for lunch break to do the recording
- B. after al11 the tasks are done, in order to conserve time
- C. as Soon as they obtain the signs or observations on the patient
- D. to wait for lunch break to do the recording
Correct Answer: C
Rationale: It is essential for nurses to record vital signs and notes on a patient as soon as they obtain them. This allows for accurate and timely documentation of crucial information related to the patient's health status. By recording the information promptly, nurses can ensure that they do not forget important details and can provide effective care based on accurate data. Waiting for lunch break or after completing other tasks can lead to delays in documentation, which may compromise patient care and safety. Therefore, the ideal and proper time for recording vital signs and notes is immediately after obtaining them.
A patient in the ICU develops acute myocardial infarction (MI) with cardiogenic shock. What intervention should the healthcare team prioritize to manage the patient's shock?
- A. Perform emergent percutaneous coronary intervention (PCI).
- B. Administer inotropic medications to improve cardiac contractility.
- C. Initiate therapeutic hypothermia to reduce myocardial oxygen demand.
- D. Recommend anticoagulant therapy to prevent thromboembolism.
Correct Answer: A
Rationale: In a patient with acute myocardial infarction (MI) complicated by cardiogenic shock, the primary intervention to manage shock is emergent percutaneous coronary intervention (PCI). PCI is a procedure performed to restore blood flow in an occluded coronary artery that is causing the MI. By opening up the blocked artery and restoring blood flow to the heart muscle, PCI can help reduce myocardial damage, improve cardiac function, and stabilize the patient's condition. Prompt reperfusion via PCI is crucial in the setting of cardiogenic shock to improve survival outcomes and reduce the risk of further complications. Administering inotropic medications, initiating therapeutic hypothermia, or recommending anticoagulant therapy may be components of management in specific cases but are not the primary intervention for managing shock in a patient with acute MI and cardiogenic shock.